Organization
CULBERTSON PHARMACY INC
Active
Organization
CULBERTSON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BRISBEN RPH (OWNER)
(406) 787-5313
Entity
Organization
Contact information
Practice address
115 BROADWAY, CULBERTSON, MT 59218-0311
(406) 787-5313
(406) 787-5813
Mailing address
BOX 311, CULBERTSON, MT 59218
(406) 787-5313
(406) 787-5813
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1012
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051860
PK
—
Enumeration date
09/05/2006
Last updated
06/09/2017
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